उत्तरों सहित मेड-सर्ज: तंत्रिका, अंतःस्रावी और गुर्दा वर्कशीट

Which is the most important modifiable risk factor for stroke?

1. AMale sex
2. BHigh blood pressure
3. COlder age
4. DFamily history of stroke

Which hourly urine output is usually taken as the minimum acceptable for an adult?

1. AAbout 0.05 mL/kg per hour
2. BAbout 5 mL/kg per hour
3. CAbout 10 mL/kg per hour
4. DAbout 0.5 mL/kg per hour

इंसुलिन एस्पार्ट या लिस्प्रो जैसा तेज़-असरकारी इंसुलिन आमतौर पर कब दिया जाना चाहिए?

1. Aभोजन से ठीक पहले या भोजन के साथ
2. Bसोते समय, बिना कुछ खाए
3. Cदिन में एक बार, भोजन चाहे जो हो
4. Dभोजन के लगभग दो घंटे बाद

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

1. AA persistent dry cough and a raised potassium
2. BNausea, diarrhoea and a slow heart rate
3. CDry mouth, constipation and a fast heart rate
4. DWeight gain, high glucose and swollen ankles

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

1. AStay in strict isolation in hospital for several months
2. BLimit close contact with children and pregnant women for a time
3. CThere are no precautions, because the dose is tiny
4. DStart breastfeeding again the next day

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

1. AThe left trigeminal nerve (V)
2. BThe right facial nerve (VII)
3. CThe right hypoglossal nerve (XII)
4. DThe left hypoglossal nerve (XII)

A day after a total thyroidectomy, a patient has tingling lips, a positive Chvostek's sign and a corrected calcium of 1.85 mmol/L (about 7.4 mg/dL). What does the nurse expect?

1. AIV potassium chloride and a fluid restriction
2. BA loop diuretic to remove the extra calcium
3. COral levothyroxine, with a recheck of the calcium in a month
4. DIV calcium gluconate and monitoring for laryngospasm

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

1. AOral prednisolone
2. BOral amoxicillin
3. CIV aciclovir
4. DIV insulin